Expedite Form - 11/24

Page 1


FIRE DEVELOPMENT SERVICES PLAN CHECK EXPEDITE REQUEST

DATE: __________________

TO: Commander, Fire Development Services Unit Fire Prevention Bureau

201 N Figueroa Street, Suite 300 Los Angeles, CA 90012

FROM: _______________________________________________________________ (Name of person processing this request)

Telephone Number: ____________________________________________________

Office Address: ____________________________________________________ ____________________________________________________

SUBJECT: EXPEDITE PLAN CHECK NO. ___________________

JOB ADDRESS: ________________________________________________________

Please expedite plan review for the above address. I hereby submit fees of $508 for the first 4-hours of plan review and agree to pay $127 per hour, or any portion thereof, for any additional time required by the plans examiner.

The below listed person will be responsible for any additional cost. Please invoice for any additional costs to:

Name/Title: Company: Address: Telephone No.: ( ) ____________________________________________

Authorized Signature: Print Name: For office use only

LAFD Inspector’s Signature: _______________________________________

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